
ZEN PSYCHIATRIC SERVICES OF WESTERN NORTH CAROLINA
SMALL PRACTICE. BIG HEART. BIG DIFFERENCE.
We take mental health seriously.
With offices in Asheville, Mooresville and Morganton, we proudly serve the Western North Carolina region and beyond with your privacy in mind. We have created a peaceful, comfortable, and positive environment for better treatment outcomes. Although we greatly prefer first contact to be a referral from your current mental health or primary care provider, we are happy to answer direct calls during our business hours Monday – Friday, 9:00am-5:00pm. Voicemail is available all other times, and we will get back to you promptly. We will gladly and honestly tell you if our services are appropriate for your symptoms. Ketamine and SPRAVATO® (esketamine) nasal spray are not for everyone.

Clinical studies have shown that ketamine and esketamine work to help those with treatment-resistant depression (TRD). These medications represent the dawn of a new era in psychiatric treatment. Let us help you on your journey toward healing. Our team of providers are here to assist you in achieving your happiness. We’re here to help.
A New Dawn In Psychiatric Treatment
We offer expert psychiatric care using innovative treatment practices in a peaceful environment. Our medical staff will help to ensure your experience is positive and safe.
I was a patient at Zen Psychiatric for nearly a year, beginning treatment in February 2025. Out of nowhere, in January 2026, the office manager, Erica Rhyne, called me and abruptly ended my Spravato treatments. She claimed that “they haven’t been paid for any of my treatments since October,” even though my insurance later confirmed that all claims were pending, not denied—and the clinic had been receiving payments.
During my last appointment, the check-in staff member, Dash, behaved unprofessionally and aggressively toward me. She lied about the treatment bays being unavailable, created tension over a simple misunderstanding because I couldn’t hear her while wearing earbuds, and refused to take me back for treatment until I answered her question about whether I wanted water.
Dash had already been rude and disrespectful on at least four other occasions to both me and my fiancé, but every time I reported it, Erica Rhyne dismissed it completely.
After my treatment was cut off, I made numerous attempts to contact my prescribing psychiatrist, Dr. Anthony Frasca—through calls, emails, and every route I could think of—but never received a response. I was told multiple times that Dr. Frasca was aware of the situation and would be calling me back soon. One staff member, Rachel, even assured me he was adamant about returning calls.
Still, as of March 3, 2026, I’ve never heard from him. I even had to start calling from a secondary phone number app because the office stopped answering when I used my primary phone line.
I’ve struggled with Major Depressive Disorder, Treatment-Resistant Depression, Anxiety, and Complex PTSD for nearly 27 years. No medication combination ever worked for me—until Spravato. This treatment truly changed my life. For the first time, I felt genuine relief from the crippling symptoms that had controlled me for so long. My progress was incredible, and I finally had hope.
Erica Rhyne—who is not my psychiatrist—took all of that away. She single-handedly denied me access to a life-saving treatment, refused to let me speak with anyone else, and erased all of my hard-won progress. Because of her actions, my mental health has plummeted, leaving me in crisis once again!
What Erica Rhyne did to me has completely broken my spirit. Her actions were unethical, unfair, and illegal, and because of them, my entire life fell apart. I lost my job, my confidence, and a part of myself that I can’t seem to get back. The emotional pain she caused runs deep — I wake up every day struggling with crushing depression and anxiety that I can’t control. It feels like she took away not just my livelihood, but my peace, my stability, and my ability to feel safe in my own life again!!!
We highly recommend Zen Psychiatric Services!
First the actual treatments keep me from completely losing all my marbles, which I very much appreciate.
Most importantly though is that the people who work there are some of the best human on this planet. They are kind, compassionate, and have a good sense of humor. I feel like I am more than just a patient that they see when they go to work, but rather it feels like they really care. Words cannot express how much I appreciate everyone who works there!
I would recommend Spravato to anyone who is struggling and feels like nothing is working. And I would 10/10 recommend that they go to Zen Psychiatric Services, because they are truly wonderful. Between the treatments and the staff you will find that life suck less!
Our Bays
Your privacy is important to us. We have created multiple treatment bays in a peaceful and relaxed environment with full medical observation and assistance.
We believe in your pursuit of happiness. Depression doesn’t have to last forever. Let us help!
What the experts say
Depression is common, and as many as one-third of people with depression are considered treatment-resistant, not finding relief from symptoms even after trying several antidepressants. Ketamine and esketamine offer a new and fast-acting treatment for people that have not responded to other anti-depression medications. New research published May 2019 in the American Journal of Psychiatry supports the effectiveness and safety of SPRAVATO® (esketamine) nasal spray in treating depression for people who have not responded to previous treatments. This study is one of the key studies that led to the recent Food and Drug Administration (FDA) approval of esketamine nasal spray, in conjunction with an oral antidepressant, for use in people with treatment-resistant depression.
With most medications, like valium, the anti-anxiety effect you get only lasts when it is in your system. When the valium goes away, you can get rebound anxiety. When you take ketamine, it triggers reactions in your cortex that enable brain connections to regrow. It’s the reaction to ketamine, not the presence of ketamine in the body that constitutes its effects
John Krystal, MD, Chief Psychiatrist Yale Medicine
There has been a long-standing need for additional effective treatments for treatment-resistant depression, a serious and life-threatening condition. Controlled clinical trials that studied the safety and efficacy of this drug, along with careful review through the FDA’s drug approval process including a robust discussion with our external advisory committees, were important to our decision to approve this treatment.
Tiffany Farchione, MD, Director, Division of Psychiatry, US Food and Drug Administration
This trial of esketamine was one of the pivotal trials in the FDA's review of this treatment for patients with treatment resistant depression. Not only was adjunctive esketamine therapy effective, the improvement was evident within the first 24 hours. The novel mechanism of action of esketamine, coupled with the rapidity of benefit, underpin just how important this development is for patients with difficult to treat depression.
Michael Thase, MD, Penn Medicine, American Journal of Psychiatry

